{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T19:49:00Z","timestamp":1698695340147},"reference-count":31,"publisher":"Akademiai Kiado Zrt.","issue":"8","license":[{"start":{"date-parts":[[2023,2,26]],"date-time":"2023-02-26T00:00:00Z","timestamp":1677369600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2023,2,26]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> Az acromegalia egy kr\u00f3nikus endokrin betegs\u00e9g:\n                    ilyenkor egy, az agyalapi mirigyben l\u00e9v\u0151 tumor k\u00f6vetkezt\u00e9ben feln\u0151ttkorban\n                    jelent\u0151s mennyis\u00e9g\u0171 hum\u00e1n n\u00f6veked\u00e9si hormon \u00e9s k\u00f6vetkezm\u00e9nyesen inzulinszer\u0171\n                    n\u00f6veked\u00e9si faktor termel\u0151dik, aminek kezeletlen\u00fcl jelent\u0151s hat\u00e1sa lehet a\n                    cardiovascularis rendszerre. Tudjuk, hogy az elit sport szint\u00e9n egy\u00fctt j\u00e1r a\n                    sz\u00edv fiziol\u00f3gi\u00e1s \u00e1talakul\u00e1s\u00e1val, az \u00fan. atl\u00e9tasz\u00edv kialakul\u00e1s\u00e1val: ilyenkor a\n                    sz\u00edv \u00fcregeinek volumetrikus \u00e9s funkcion\u00e1lis adapt\u00e1ci\u00f3ja figyelhet\u0151 meg.\n                        <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> A fenti t\u00e9nyeknek megfelel\u0151en joggal ad\u00f3dhat a\n                    k\u00e9rd\u00e9s, vajon milyen elt\u00e9r\u00e9sek figyelhet\u0151k meg a bal kamra morfol\u00f3gi\u00e1j\u00e1ban \u00e9s\n                    funkci\u00f3j\u00e1ban acromegali\u00e1ban, \u00e9s a kapott eredm\u00e9nyek milyen hasonl\u00f3s\u00e1gokat \u00e9s\n                    k\u00fcl\u00f6nbs\u00e9geket mutatnak \u00e9lsportot \u0171z\u0151 fiatalok bal kamr\u00e1j\u00e1hoz k\u00e9pest eg\u00e9szs\u00e9ges,\n                    nem sportol\u00f3 feln\u0151ttek \u00e9rt\u00e9keihez viszony\u00edtva. <jats:italic>M\u00f3dszer:<\/jats:italic> A jelen\n                    vizsg\u00e1latba 21, nagy dinamik\u00e1j\u00fa sportot \u0171z\u0151 \u00e9lsportol\u00f3t (\u00e1tlag\u00e9letkor: 31,2 \u00b1\n                    6,4 \u00e9v, 13 f\u00e9rfi) \u00e9s 18, acromegali\u00e1s beteget (\u00e1tlag\u00e9letkor: 47,9 \u00b1 8,9 \u00e9v, 9\n                    f\u00e9rfi) v\u00e1logattunk be. Eredm\u00e9nyeiket 22 negat\u00edvkontroll-esethez (\u00e1tlag\u00e9letkor:\n                    47,7 \u00b1 10,6 \u00e9v, 13 f\u00e9rfi) hasonl\u00edtottuk. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Mind az\n                    \u00e9lsportol\u00f3kra, mind a kezelt acromegali\u00e1s betegekre jellemz\u0151, hogy bal kamr\u00e1juk\n                    t\u00e1gult, de annak funkci\u00f3ja megtartott. M\u00edg az \u00e9lsportol\u00f3kat az eg\u00e9szs\u00e9ges\n                    kontrollokhoz k\u00e9pest emelkedettebb longitudin\u00e1lis \u00e9s circumferentialis bal\n                    kamrai strain jellemzi, mely els\u0151sorban az apicalis szegmentumok kifejezett\n                    kontraktilit\u00e1s\u00e1nak k\u00f6vetkezm\u00e9nye, addig acromegali\u00e1ban a radi\u00e1lis bal kamrai\n                    strain n\u00f6veked\u00e9se detekt\u00e1lhat\u00f3, mely a basalis r\u00e9gi\u00f3t \u00e9rinti. A bal kamrai\n                    rot\u00e1ci\u00f3s mechanika elt\u00e9r\u00e9sei szint\u00e9n elt\u00e9r\u0151 mint\u00e1zatot mutatnak: m\u00edg\n                    \u00e9lsportol\u00f3kban a basalis bal kamrai rot\u00e1ci\u00f3 cs\u00f6kkent, addig az acromegali\u00e1t az\n                    apicalis bal kamrai rot\u00e1ci\u00f3 kifejezett m\u00e9rs\u00e9kl\u0151d\u00e9se jellemzi, mely egy\u00fctt j\u00e1r a\n                    bal kamrai csavarod\u00e1s l\u00e9nyeges cs\u00f6kken\u00e9s\u00e9vel. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A\n                    nagy dinamik\u00e1j\u00fa sportot \u0171z\u0151 \u00e9lsportol\u00f3kban \u00e9s acromegali\u00e1s betegekben a nem\n                    sportol\u00f3 eg\u00e9szs\u00e9ges szem\u00e9lyekhez k\u00e9pest a bal kamra t\u00e1gult, els\u0151sorban\n                    region\u00e1lis szinten kontraktilit\u00e1sa kifejezettebb, rot\u00e1ci\u00f3s mechanik\u00e1ja\n                    elt\u00e9r\u00e9seket mutat, de k\u00fcl\u00f6nbs\u00e9gek igazolhat\u00f3k ezen elt\u00e9r\u00e9sek jelleg\u00e9ben \u00e9s\n                    m\u00e9rt\u00e9k\u00e9ben. Orv Hetil. 2023; 164(8): 308\u2013316.<\/jats:p>","DOI":"10.1556\/650.2023.32720","type":"journal-article","created":{"date-parts":[[2023,2,28]],"date-time":"2023-02-28T05:12:21Z","timestamp":1677561141000},"page":"308-316","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["Bal kamrai deformit\u00e1s: az akt\u00edv \u00e9lsporthoz \u00e9s az acromegali\u00e1hoz k\u00f6thet\u0151 elt\u00e9r\u00e9sek hasonl\u00f3s\u00e1gai \u00e9s k\u00fcl\u00f6nbs\u00e9gei."],"prefix":"10.1556","volume":"164","author":[{"given":"N\u00e1ndor","family":"Gyenes","sequence":"first","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Belgy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 8., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1rp\u00e1d","family":"Korm\u00e1nyos","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Belgy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 8., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"V\u00e1gv\u00f6lgyi","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Belgy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 8., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsuzsanna","family":"Valkusz","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Belgy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 8., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Balogh","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, Sporttudom\u00e1nyi Koordin\u00e1ci\u00f3s Int\u00e9zet Debrecen Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Papp","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, Sporttudom\u00e1nyi Koordin\u00e1ci\u00f3s Int\u00e9zet Debrecen Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Csaba","family":"Lengyel","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Belgy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 8., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Nemes","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Belgy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 8., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1016\/S1042-3680(02)00035-9","article-title":"Pathology of pituitary tumors","volume":"14","author":"1 Sanno","year":"2003","unstructured":"1 Sanno N, Teramoto A, Osamura RY, et al. 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